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1881739761
MARK J KILGALLON
BRATTLEBORO, VT
NPI
1881739761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MA 212047)
Enumeration Date
2007-02-20
Last Update Date
2023-03-20
Business Address
MARK J KILGALLON LICSW
60 TERRACE ST
BRATTLEBORO, VT 05301-3105
Phone number: 413-522-9158
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Mailing Address
MARK J KILGALLON LICSW
60 TERRACE ST
BRATTLEBORO, VT 05301-3105
Phone number: 413-522-9158
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